The ultimate resource for learning and mastering minimally invasive spine surgery techniques An estimated 1.5 million instrumented spinal procedures are performed every year in the US. The majority of decompressions and about 50% of fusion procedures can be performed completely or partially using minimally invasive spine surgery (MISS) techniques. The full potential of MISS techniques has yet to be realized. Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by internationally renowned MISS neurosurgeon Roger Härtl, spine-neurosurgeon Rodrigo Navarro-Ramirez, and an impressive group of global multidisciplinary contributors is the most comprehensive and detailed textbook written to date on this topic. The foundation of the book is built on six interacting principles critical to surgical success, and MISS in particular: Target, Technology, Technique, Teaching and Training, Testing, and Talent. The text starts with an opening chapter on the definition of MISS and introduction of these principles. Fifty-six subsequent chapters provide a comprehensive discussion on how to utilize an MISS approach for a full spectrum of spinal pathologies using nuanced variations specific to the operating surgeon. To ensure readers are well versed in all aspects of MISS, these chapters include painstaking details on indications, contraindications, pathoanatomy, operating room set-up, step-by-step techniques, and postoperative management. Key Highlights Contributions from master spine surgeons across the world provide a balanced global perspective on mastering and incorporating diverse techniques into practice Invaluable clinical pearls including tips/tricks and complication avoidance High-quality images, figures, anatomic drawings, and imaging studies illustrate relevant anatomic approaches and corridors and delineate why anatomic mastery is critical to MISS Twenty-five videos enhance the ability to learn and implement MISS approaches This is a must-have resource for practicing spine surgeons interested in MISS who wish to learn the latest techniques from master surgeons and achieve optimal patient outcomes. The text and videos also provide a robust training tool for senior-level orthopaedic and neurosurgery residents and spine fellows.

The desire to expose the spine for surgery by anterior approaches at any level between the head and the sacrum is not new. Spinal pathology is often located anterior to the spinal cord and nerve roots in the cervical and thoracic spine, and anterior to the peripheral nerves that emerge from the lumbosacral spine below the first lumbar ver tebra. To treat such pathology one prefers to expose the front of the spine directly and widely enough to eradicate the pathology and to have full control of bleeding throughout the procedure. The posterior elements of the spine are important for mechanical stability of the spine, and therefore for the protection of the neural and vascular structures in the spine that would be threatened by instability. Extensive eradication of pathology posterior to the spinal canal and the intervertebral foraminae, including the transverse processes, may leave no adequate bony bed for the surgical creation of a stabilizing osseous fusion. In such a situation, an anterior fusion procedure is the only viable alternative to a posterior or posterolateral fusion. In situations where it is critically important to obtain a stable fusion, as in tuberculosis of the spine, both an anterior and a posterior fusion operation at the same motion segments is, in almost every instance, a guarantee of a stable osseous fusion. One should know both approaches.

This best-selling resource explores the full spectrum of surgical techniques used in spine surgery, and describes how to avoid and manage complex problems. It emphasizes how to achieve successful outcomes and minimize risks. The 2nd Edition delivers more than 25 brand-new chapters, as well as extensive revisions and updates throughout, to reflect all of the latest advances in the field. It also features contributions from an increased number of orthopaedic surgeons to round out the strong coverage provided by the many neurosurgeon contributors. Features contributions from well-known neurosurgeons and orthopaedic surgeons, for well-rounded, authoritative coverage from beginning to end. Offers more than 825 outstanding illustrations that demonstrate how to perform every procedure step by step. Provides more than 25 brand-new chapters, as well as extensive revisions or total rewrites to the majority of existing chapters-to present all of the most up-to-date information available on every aspect of spine surgery. Includes chapters on hot topics such as Nonspinal Pathology Masquerading as Spinal Disease · Bone Void Fillers: Bone and Bone Substitutes · Data Management · Posterior Lumbar Interbody Fusion · Ankylosing Spondylitis and Related Disorders · Craniocervical Junction Deformities · Pediatric Spinal Deformities · Subsidence and Dynamic Spinal Stabilization · and The Nonoperative Management of Neck and Back Pain. With 267 additional contributing experts.

This manual has been compiled in response to the rapid expansion of instrumented spinal surgery using minimally invasive and non-fusion techniques, with a view to meeting the needs of spinal surgeons (orthopaedic and neurosurgeons). The various open, less invasive, and minimally invasive techniques are presented step by step in a clear and instructive way with the aid of more than 600 high-quality illustrations. Careful attention is paid to all aspects vital to the success of any spinal operation: precise definition of indications and contraindications, technical and organizational factors, good operating technique, and correct preoperative preparation and positioning of the patient. This second edition of the manual takes full account of the latest developments in spinal instrumentation and implants and new surgical techniques. It is authoritative, concise, and portable – ideal for use in a fast-paced clinical setting – and will serve as a daily companion for spinal surgeons and others who care for patients with spinal disorders.

An internationally recognized expert in nerve and spinal surgery covers everything a back patient needs to know in deciding whether or not to have surgery, discussing the various types of surgery available, the risks of surgery, and the options one may have.

Operative Techniques in Spine Surgery provides full-color, step-by-step explanations of all operative procedures in spine surgery. It contains 19 chapters from the spine section and 10 chapters from the pediatric section of Dr. Sam W. Wiesel's Operative Techniques in Orthopaedic Surgery, as well as 18 new chapters covering advanced procedures. Written by experts from leading institutions around the world, this superbly illustrated volume focuses on mastery of operative techniques and also provides a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. The user-friendly format is ideal for quick preoperative review of the steps of a procedure. Each procedure is broken down step by step, with full-color intraoperative photographs and drawings that demonstrate how to perform each technique. Extensive use of bulleted points and tables allows quick and easy reference. Each clinical problem is discussed in the same format: definition, anatomy, physical exams, pathogenesis, natural history, physical findings, imaging and diagnostic studies, differential diagnosis, non-operative management, surgical management, pearls and pitfalls, postoperative care, outcomes, and complications.

Part of the popular Tips and Tricks series, Emory Spine: Illustrated Tips and Tricks in Spine Surgery provides succinct and practical advice acquired from years of expert practice in spine surgery. Led by John M. Rhee, MD from the Emory University Department of Orthopaedic Surgery and Emory University Spine Fellowship, this visually stunning reference focuses exclusively on detailed descriptions of technical tips and tricks for all aspects of spine surgery. This unique approach will be highly useful to everyone from orthopaedic and neurosurgery spine fellows and residents, to practicing spinal surgeons – anyone who would benefit from exposure to the wisdom that experienced attending surgeons pass on to those who are training or working in this complex field.